Individual
TRACEY LOUISE MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7520 EDINBOROUGH WAY, #2315, EDINA, MN 55435-4764
(952) 201-9494
Mailing address
7308 MOONLIGHT LN, #2315, EDEN PRAIRIE, MN 55346-2761
(952) 201-9494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1292
MN
101YP2500X
Professional Counselor
01486
MN
Other
Enumeration date
05/11/2015
Last updated
11/11/2016
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